Patient Access Representative 1 - Children's Hospital

Our Lady of the Lake Children's Medical Center is looking to add a skilled patient access representative to its hospital team. In this role, you will serve as the first point of contact between our patients and our hospital. This means that having strong communication skills is a must. It will be your job to guide each patient through the process of being admitted into the hospital. That means collecting their information, explaining hospital procedures to them, and handling their insurance for pre-approval. The Patient Access Representative ensures the patient's experience is best in class and demonstrates effective communication skills with patients and families, physicians, nurses, and insurance companies. If making a difference in a stressful but exciting Hospital environment is what you are looking for and you believe that you have the qualifications to excel in this role, then this may be the opportunity you have been waiting for! 

1. Registration
   1. Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner.
   2. Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system.
2. Insurance and Benefits Knowledge
   1. Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage and prior authorization
   2. Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered.
3. Financial Collections
   1. Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
   2. Understands and explains the details of the out-of-pocket calculation.

Position Requirements:

Experience
1 year relevant experience (registration, patient scheduling, customer service, billing, coding, finance, or accounting) in the healthcare industry
OR
Related certification (Certified Coder, Certified Medical Assistant, or Certified Healthcare Access Associate) or Bachelor's Degree substitutes for 1 year of experience.

Education
High School diploma or equivalent.

Skills
Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.

Our Lady of the Lake Children’s Hospital serves as the main campus and central hub for Our Lady of the Lake Children’s Health state-wide network of pediatric healthcare. The hospital is home to an expanded St. Jude Affiliate Clinic and the only pediatric emergency room in Louisiana staffed 24/7 by physicians certified in pediatric emergency medicine. It’s also home to one of only two dedicated pediatric trauma programs in Louisiana.

At Our Lady of the Lake Children's Health, we believe that access to not only primary care but also a robust network of specialties is critical to improving children’s health. We offer comprehensive ongoing care for your child in more than 30 specialties, in addition to our  critical care , intensive care and departments. With specialties available in major markets and specialists rotating so satellite clinics across Louisiana, specialty care is close to home. We have the ability to treat almost any pediatric condition, and with care close by, your kids will be on the path to health in no time. With more than 180 providers across our specialties, we are ready to care for your child!